Transparency in Coverage
Multiple new laws and regulations have been passed with the intent of making certain health plan information more accessible to health plan participants and the public. In November 2020, the Centers for Medicare and Medicare Services (CMS) finalized the Transparency in Coverage Final Rules (TiC) and in December 2020, the President signed into law the Consolidated Appropriations Act of 2021 (CAA), both of which required group health plans to make certain health plan disclosures. All group health plans and issuers are required to make publicly available a machine-readable file (MRF) disclosing information about costs, covered items and services effective 7/1/22.
Click here to review the final regulations
Click here for group health plan information